ʻO ka hāʻule ʻana o ka honu (TR), nephritis

Ōuli: passivity, hōʻole e ʻai, koko ma lalo o nā pā ma ka plastron, ʻaʻohe paʻakai i ka mimi Paulo: ʻoi aku ka ʻāina lapaʻau: ʻike ʻia nā hōʻailona ma ka pae hope loa, ke lohi loa ka mālama ʻana

Nā kumu:

Nā kūlana e kōkua ai i ka hāʻule ʻana o ke kīkī (hoʻonui ʻia nā pae uric acid):

• dehydration (ka hoʻoilo ma lalo o ka pākaukau),
• ka hānai pono ʻole - ka nui o ka protein (hānai i ka ʻiʻo, ka berena, a me nā mea ʻē aʻe), ka nui o ka protein i loko o ka hānai,
• mālama lōʻihi i nā mahana haʻahaʻa (ma ka papahele),
• ka nele o ka vitamina A a i ʻole ka nui,
• ka hemahema o ka calcium / phosphorus (hoʻokomo ʻana i nā lāʻau i kūpono ʻole i ka honu a i ʻole nā ​​​​mea hoʻohui calcium kūpono ʻole),
• ka hoʻohana ʻana i nā lāʻau nephrotoxic,
• nā maʻi like ʻole o ka ʻāpana mimi a me ka cloaca. Loaʻa kēia maʻi ma nā honu honua wale nō a kakaʻikahi loa i nā honu.

ʻO kēia mau mea maikaʻi ʻole ke kumu i nā hoʻololi luku i ka epithelium renal, kahi e alakaʻi ai i ka hana renal impaired - hoʻomaka ka phosphates e hōʻiliʻili i loko o ke kino, a hāʻule ka pae calcium, hoʻololi ka ratio o ka calcium i ka phosphorus mai 3 a 1, i ka ʻaoʻao. 

Nui nā kumu no ka nephropathy i nā mea kolo, akā ma nā kuhukukū o Central Asia, pili pinepine kēia me ka dehydration lōʻihi, ka nele o ka huaora A, mālama lōʻihi i nā haʻahaʻa haʻahaʻa, ka nui o ka protein i ka meaʻai a me ka hānai ʻana i nā mea kanu: keʻokeʻo a me ka puaʻala, spinach, ʻuala, legumes (sprouts including) pineapple. Hiki pinepine ia ma hope, e like me kā mākou i kapa ai, "spontaneous hibernation" (disorganized, uncontrolled hibernation - ma nā huaʻōlelo ʻē aʻe, ma hope o ka friji a i ʻole ma lalo o ka radiator): hoʻomau ʻia ka uric acid, akā ʻaʻole i hoʻokuʻu ʻia, e alakaʻi ana i ka hōʻino ʻole. (paʻa ka mimi insoluble i nā tubules renal).

Syndrome

Acute renal failure (ARF) and chronic renal failure (CRF). ʻO ke kauka i ka manawa i hoʻopaʻa ʻia e hana maʻamau i kahi maʻi manaʻo: maʻi maʻi maʻi a i ʻole maʻi maʻi (ʻaʻole i wehewehe ʻia). Ke hana ʻia ka hōʻailona, ​​​​ua hana ʻia ka ʻike hope loa. Aia nā ʻokoʻa i ke ala o ka maʻi, nā hōʻailona o waho, nā hopena hōʻike a me nā ʻano hana lapaʻau.

Inā he kaʻina koʻikoʻi ka honu o ʻAsia Waena, a laila e maloʻo ka wai, ʻaʻohe ona makemake, akā make wai; hiki ke hele i ka mimi, akā ʻaʻole loaʻa nā paʻakai uric acid (“white paste”). ʻAʻole pono e palupalu ka pūpū. I loko o kahi kaʻina hana maʻamau, aia nō ka nele o ka ʻai, ʻoi loa ka nele o ka mimi, a hiki ke hoʻololi ʻia ka dehydration e ka pehu. ʻO ka pūpū o ka honu i loko o kahi kaʻina hana maʻamau e palupalu paha (ʻo ka nui o nā kaʻina o ka haʻihaʻi ʻana i ka haʻalulu mineral e hōʻike i ka maʻi ma ke ʻano o kahi pilikia, i kapa ʻia ʻo "rickets" i ka poʻe maʻamau) . ʻO nā lālā hope, me ka mālama ʻana i ka naʻau, aneane ʻaʻole e neʻe, a ma muli o ka nāwaliwali, ka pehu a me nā kaʻina o ka "erosion" o ka ʻiʻo iwi, ʻike paha i waho ʻaʻohe o lākou iwi (ʻaʻole i hele nā ​​iwi ma kahi ʻē, aia lākou ma kahi). Ma ka pae hope (hope - ka "point of no return"), hiki ke hemorrhages ma lalo o nā pale plastron (e nānā i ke kiʻi), a hiki ke wehe maʻalahi nā pale (ma ke ʻano maoli). E pili ana i ka ʻala: he mea pili kēia, akā ke manaʻoʻiʻo nei kāu kauā haʻahaʻa he honi paha ka mea i hana me ka ʻāʻī ʻāʻī hope i kahi ʻala ʻano mai ia mau holoholona a ʻaʻole loa e huikau me kekahi.

symptoms:

• ʻoi aku ke kaumaha o ka honu a i ʻole ke kaumaha maʻamau a hōʻole pinepine i ka ʻai;
• hiki mai ka luaʻi - he hōʻailona kakaʻikahi i nā honu;
• he pilau a me ka mimi ka honu;
• pehu nā lālā hope, ma mua paha. Aneane akaka ka ili;
• ma lalo o nā pale o ka plastron, ʻike ʻia ka loli o ka wai (maʻamau me ka ʻole o ka hoʻohui koko);
• nā hōʻailona kūpono o ka hypovitaminosis A;
• hiki i nā hōʻailona o ka osteomalacia;
• pehu ka ʻāʻī i nā honu ʻāina;
• ʻaʻohe paʻakai ma ka mimi.

Ho'ōki ka honu i ka ʻai ʻana, kolo ʻole, ʻaʻole wehe maikaʻi i kona mau maka, hiki ke wehe a pani i kona waha i kēlā me kēia manawa. I ka hana ʻole ʻana o ka renal i pili me ka nephrocalcinosis (ke kiʻekiʻe o ka calcium plasma mai 20 a 40 mg/dl), ʻo ka hoʻokuʻu ʻana i nā paʻakai calcium e make ai ka honu. I ka pae hope o ka hana ʻole o ka renal, holo wikiwiki nā kaʻina hana a pau. ʻO ka ulu ʻana o ka anemia, ka maʻi hemorrhagic, nā kaʻina osteomalacia e alakaʻi i ka hoʻokaʻawale ʻana o nā papa iwi ma nā ʻāpana a me ka hāʻule ʻana o nā papa horny. ʻO nā kumu o ka make ʻo ia ka edema pulmonary, pericarditis, a i ʻole encephalopathy. Hiki i ka honu i ka pae hope ke ola i nā lā 5-10.

Pono e hana ʻia ka mana biochemical o ke koko i nā holoholona me ka lawa ʻole o ka renal i ka pae mua o ka lāʻau lapaʻau i kēlā me kēia 7-14 mau lā, ma hope o ka hoʻopaʻa ʻana o ke kūlana i kēlā me kēia 2-6 mahina e nānā i ke kūlana o nā puʻupaʻa a hoʻoponopono i ka lāʻau. Hōʻike ʻo PN iā ia iho i ka wā e make ai ka 70% o nā nephrons, ʻo ia hoʻi, he 30% wale nō o ka ʻiʻo renal e hana maʻamau. ʻO ia ke ʻano he hiki ʻole ke hoʻōla loa i ka maʻi, a pono ia mau holoholona i ka nānā ʻana a me ka lāʻau lapaʻau.

noonoo: Hiki i nā regimens lapaʻau ma ka pūnaewele ua kuhu! Hiki i ka honu ke loaʻa i kekahi mau maʻi i ka manawa hoʻokahi, a he nui nā maʻi paʻakikī e ʻike me ka ʻole o ka hoʻāʻo ʻana a me ka hoʻokolokolo ʻana e ka mea lapaʻau, no laila, ma mua o ka hoʻomaka ʻana i ka hoʻomaʻamaʻa ponoʻī, e hoʻopili i kahi keʻena lāʻau lapaʻau me kahi herpetologist veterinarian hilinaʻi, a i ʻole kā mākou kauka lapaʻau ma ka ʻaha kūkā.

lapaʻau:

“E ʻokoʻa ka lāʻau lapaʻau no nā kaʻina hana koʻikoʻi a me ka maʻi; He paʻakikī loa ia, he nui-pae a koi i ka nānā ʻana ma o ka nānā ʻana - pono kēia e hoʻololi i ke kūlana i loko o ka lima o ka mea lapaʻau. ʻO ka maʻamau, ʻo ka infusion therapy, corticosteroids, replenishment o nā huaora a me ka calcium, furosemide i kahi kaʻina hana maʻamau i kuhikuhi ʻia, ma ke alo o nā kuhikuhi pololei, hiki ke kuhikuhi ʻia ke kahe koko. Kau ʻia nā lāʻau antigout. Kau ʻia nā lāʻau antibiotic, akā ʻaʻole i nā manawa a pau. Hoʻohana like ka Solcoseryl me Dicinon: hoʻokō maikaʻi mākou i ka lāʻau lapaʻau me ka ʻole o kēia mau lāʻau lapaʻau ʻelua. I ka manawa i hiki ai i ka renal ka hiki ʻole i ka pae hope, a i ʻole ʻaʻohe hopena maikaʻi i ka pane ʻana i ka lāʻau lapaʻau i loko o 1,5-2 mau pule, lilo ka honu i moho pololei no ka euthanasia (euthanasia).» Kutorov S.

ʻO ka papa hana lapaʻau no PN (ka hōʻole ʻole o ka renal):

1. Hoʻopili ʻia ka hopena Ringer-Locke a i ʻole Hartman ma lalo o ka ʻili o ka ʻūhā, i kēlā me kēia lā, 20 ml / kg, e hoʻohui ana i 1 ml / kg o 5% Ascorbic acid i ka syringe. 5-6 mau manawa. ʻO ka hoʻonā Ringer a i ʻole ka Sodium Chloride solution 0,9% me 5% Glucose i ka ratio o 1 a 1 ma lalo o ka ʻili o ka ʻūhā, i kēlā me kēia lā, 20 ml / kg, e hoʻohui i 1 ml / kg o 5% Ascorbic acid i ka syringe. 5-6 mau manawa. A i ʻole (inā makemake ʻoe i kahi diuretic) ʻO ka hopena o Ringer me 5% Glucose i ka ratio o 1 a 1 a i ʻole ka hopena Ringer-Locke (10-15 ml / kg) + 0,4 ml / kg Furosimide. Ma lalo o ka ʻili o ka ʻūhā, i kēlā me kēia lā. 4 manawa.
2. Vitamin complex Eleovit me ka nele o nā huaora ma ke ʻano o 0,4 ml / kg i hoʻokahi manawa i kēlā me kēia 2 pule. 2 manawa wale nō.
3. Hoʻokomo ʻia ka calcium borogluconate ma lalo o ka ʻili o ka ʻūhā, i kēlā me kēia lā (ma nā lā ʻē aʻe me ka helu 1), 0,5 ml / kg a i ʻole Calcium gluconate 1 ml / kg me ka nele o ka calcium. 5 inikini.
4. [No ka mumū o nā hopena] Dexafort (0,6 ml / kg) i kekahi ʻiʻo A i ʻole Dexamethasone 0,4 ml / kg 3-4 mau lā, a laila hoʻemi ʻia e 2 ml / kg i kēlā me kēia 0,1 lā. Papa 8 lā.
5. [Ke koho ʻia paha] Antibiotic Baytril 2,5% i kēlā me kēia lā me kahi papa o 7-10 injections intramuscularly. ʻAʻole pono ka lāʻau antibiotic i nephrotoxic.
6. [Ke koho ʻia paha] Dicinon i kēlā me kēia lā intramuscularly 5-7 injections ma ke ʻano he lāʻau hemostatic. 
7. E ʻauʻau i kēlā me kēia lā no 40-60 mau minuke i ka wai + 27-30 C

ʻO ke ʻano lapaʻau no ka hōʻino ʻole o ka renal (acute renal failure):

1. Hoʻokomo ʻia ka hopena Ringer-Locke a i ʻole Hartman ma lalo o ka ʻili o ka ʻūhā, i kēlā me kēia lā, 20 ml / kg, e hoʻohui ana i 1 ml / kg o 5% ascorbic acid i ka syringe. 5-6 manawa.
2. Dexafort (0,8 ml/kg) i kekahi hui puʻupuʻu. E hana hou ma hope o 2 pule. A i ʻole ma kahi o Dexamethasone 0,4 ml / kg no 3-4 mau lā, a laila hoʻemi ʻia e 2 ml / kg i kēlā me kēia lā 0,1. Papa 8 lā.
3. Hoʻokomo ʻia ka calcium borogluconate ma lalo o ka ʻili o ka ʻūhā, i kēlā me kēia lā (ma nā lā ʻē aʻe me ka helu 1), 0,5 ml / kg a i ʻole Calcium gluconate 1 ml / kg, 5 mau injections i ka huina.
4. Allopurinol ma ka waha me 1 ml o ka wai hohonu i loko o ka esophagus, i kēlā me kēia lā, 25 mg/kg, 2-3 pule (ʻAʻole hiki ke hoʻohana me ka ʻole o nā diagnostics a me nā hoʻāʻo koko)
5. ʻO Dicynon 0,2 ml / kg i kēlā me kēia lā, 5-7 mau lā, ma ka poʻohiwi (i ke alo o ke koko)
6. Hoʻokomo ʻia ʻo Catosal i 3 mau manawa, 1 ml/kg i ka ʻāʻī, i kēlā me kēia 4 lā.
7. E ʻauʻau i kēlā me kēia lā no 40-60 mau minuke i ka wai + 27-30 C

No ka lapaʻau pono ʻoe e kūʻai:

• ʻO ka hopena Ringer-Locke (lāʻau lapaʻau holoholona) a i ʻole Hartmann a i ʻole Ringer + Glucose | 1 ipu | lāʻau lapaʻau kanaka
• Dexafort a i ʻole Dexamethasone | lāʻau lapaʻau kanaka
• ʻAka Ascorbic | 1 pack of ampoules | lāʻau lapaʻau kanaka
• Allopurinol | 1 pūʻolo | lāʻau lapaʻau kanaka
• Dicynon | 1 pack of ampoules | lāʻau lapaʻau kanaka
• Calcium borogluconate | 1 ipu | lāʻau lapaʻau holoholona
• Catosal | 1 ipu | lāʻau lapaʻau holoholona
• Syringes 1 ml, 2 ml, 10 ml | lāʻau lapaʻau kanaka

Hiki ke hoʻohana i ka Hepatovet (veterinary suspension). E hōʻoia me kāu kauka holoholona.